Phoenix Risings Counseling Center LLC
Social Worker, Clinical in Irvington, New Jersey
1417479056- Practice location
- 50 Union Ave Ste 804B, Irvington, NJ 07111-5221
- Phone
- 770-568-0619
- Fax
- 973-629-1741
- Last updated
- August 21, 2017
Phoenix Risings Counseling Center LLC is a healthcare organization based in Irvington, NJ. Phoenix Risings Counseling Center LLC practices in Irvington, NJ. The NPI Number for Phoenix Risings Counseling Center LLC is 1417479056 and holds a License No. 37LC00259900 (NJ). The current practice location address for Phoenix Risings Counseling Center LLC is 50 Union Ave Ste 804B, Irvington, NJ 07111-5221 and can be reached out via phone at 770-568-0619 and via fax at 973-629-1741.
Provider Profile Details
- NPI Number
- 1417479056
- Provider Name
- Phoenix Risings Counseling Center LLC
- Provider Entity Type
- Organization
- Address
- 50 Union Ave Ste 804B, Irvington, NJ 07111-5221
- Phone Number
- 770-568-0619
- Fax Number
- 973-629-1741
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Lynne Chantel Holley, LCSW LCADC · Executive Director · 973-393-0312
- Provider Enumeration Date
- July 14, 2017
- Last Update Date
- August 21, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Union Ave Ste 804B
Irvington, NJ 07111-5221 - City
- Irvington
- State
- New Jersey
- Zip
- 07111-5221
- Phone Number
- 770-568-0619
- Fax Number
- 973-629-1741
Provider Business Mailing Address Details
- Address
- Po Box 358
South Orange, NJ 07079-0358 - City
- South Orange
- State
- NJ
- Zip
- 07079-0358
- Phone Number
- 770-568-0619
- Fax Number
- 973-629-1741
License Information
- License Number (1)
- 37LC00259900
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 44SC05717900
- License State (2)
- NJ
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Irvington, NJ
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Frequently Asked Questions
What is the NPI number of Phoenix Risings Counseling Center LLC?
The NPI number of Phoenix Risings Counseling Center LLC is 1417479056. It was assigned on July 14, 2017 and is currently active in the NPPES registry.
What is the specialty of Phoenix Risings Counseling Center LLC?
Phoenix Risings Counseling Center LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 37LC00259900.
Where does Phoenix Risings Counseling Center LLC practice?
The practice location is 50 Union Ave Ste 804B, Irvington, NJ 07111-5221. The office can be reached at 770-568-0619 (phone) or 973-629-1741 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417479056 directly on the NPPES registry website.